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1493 Lowell Ave Park City UT 84060-5116 | |
(801) 442-1853 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 1493 Lowell Ave, Park City, Utah |
Authorized Official Name and Position | Linda C Leckman (CEO INTERMOUNTAIN MEDICAL GROUP) |
Authorized Official Contact | 8014423974 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 442-1853 | 1493 Lowell Ave Park City UT 84060-5116 Ph: (801) 442-1853 |
NPI Number | 1306394929 |
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Provider Enumeration Date | 09/12/2016 |
Last Update Date | 09/12/2016 |
Identifier | Type | State | Issuer |
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1306394929 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Anodyne Of Park City Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1790 Sun Peak Dr Ste A102, Park City, UT 84098 Phone: 435-640-1353 Fax: 435-655-2984 | |
Jupiter Medical I Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1784 Uinta Way Unit E2, Park City, UT 84098 Phone: 435-604-0160 Fax: 435-731-8328 | |
Stat-md I Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1784 Uinta Way Unit E2, Park City, UT 84098 Phone: 435-604-0160 Fax: 435-731-8328 |